Majesco Claims for L&A and Group

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Overview

Majesco Claims for L&A and Group is a comprehensive claims management platform that delivers impressive results in some of the most demanding claims operations. Developed by claims experts, the highly configurable and business rules-driven solution empowers claims adjusters to meet demanding expectations for operational efficiency and customer experience.

It is designed for insurers who need deep functionality and proven processes to manage their entire claims operations in a rapidly changing market, and includes integrations with partners, both established and InsurTech, to leverage innovative capabilities using technologies like the internet of things, virtual reality, and more.

Key Features

  • End-to-end claims management from intake to settlement and payment
  • Expansive and automated claims submission from file uploads, duplicate check and more
  • Intake flexibility including manual and bulk
  • Enhanced process and adjudication with eligibility check, benefit applicability, claims summary and post-submission claim form editing
  • Extensive calculation and payout options for benefit amounts, payment schedules, adjustments, overpayment, delayed claim interest and OFAC checks
  • Case-driven STP and exception
  • Extended claim capabilities for appeals, reopen, hold/release, void, resubmit, and
  • All lines of business
  • Flexible configuration

Key Benefits

  • Enhanced digital customer experience
  • Improved operations efficiency
  • Reduced claims management costs
  • Improved underwriting quality
  • Single platform for individual, group and voluntary benefits

Product/Service details